Jeremy Bonjorno, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3971 Issued in FL

Practice address

712 The Rialto
Venice, FL 34285

Phone

(941) 488-0222

NPI assigned

Jul 17, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empath Therapies LLCGroup PAC ID 5496144529, 108 clinicians

Premier Foot and Ankle Specialists PAGroup PAC ID 4587737424, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Discovery at Home LLC Home health agency, Fort Myers, FL, CCN 109783
• HCA Florida Englewood Hospital Hospital, Englewood, FL, CCN 100267
• Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbonjorno@pfaas-fl.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Foot and Ankle Specialists PA

  • Primary Podiatric Medicine Podiatrist
  • Venice, FL
  • NPI 1710995733

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Empath Therapies, LLC

  • Health Service Clinic/Center
  • Venice, FL
  • NPI 1346912805
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Discovery at Home LLC

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1427352558
  Care Compare affiliation
• Englewood Community Hospital, Inc.

  • General Acute Care Hospital
  • Englewood, FL
  • NPI 1639122864
  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • North Venice, FL
  • NPI 1013534445
  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1053795237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 THE RIALTO",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853524",
            "telephone_number": "941-488-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 THE RIALTO",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "34285",
            "telephone_number": "941-488-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONJORNO",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-17",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "A3B0A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Bolton, DDS MS
• Jennifer Michelle Bomalaski
• Matthew J Bonanno, MD
• Kirsten Bond
• Lisa Camille Bonin, PA-C
• Chandana Bopitiya, M.D.
• Samantha Hope Bouie, APRN
• Joann Bova
• Tammy Bowdle, MSN, APRN, PMHNP-BC
• Deborah Jean Bowler, M.A.

• Foot & Ankle Surgery Podiatrist in Venice, FL
• Providers in Venice, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.